Organization
JOHN A. GENNANTONIO, DDS AND KATHRYN LUBITZ STEWART, DDS, LLC
Active
Other names
Sea of Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACI CAIN (BUSINESS ASSISTANT)
(513) 474-6777
Entity
Organization
Contact information
Practice address
1319 NAGEL RD, CINCINNATI, OH 45255-3101
(513) 474-6777
(513) 474-2326
Mailing address
1319 NAGEL ROAD, CINCINNATI, OH 45255
(513) 474-6777
(513) 474-2326
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30.019420
OH
1223P0221X
Pediatric Dentistry
30.022659
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0924807
—
OH
05
—
2830146
—
OH
05
—
3047410
—
OH
Enumeration date
05/26/2010
Last updated
04/21/2016
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